• Christian von Rüden, Julia Rehme-Röhrl, Peter Augat, Jan Friederichs, Simon Hackl, Fabian Stuby, and Oliver Trapp.
• Department of Trauma Surgery, Orthopaedics and Hand Surgery, Weiden Medical Center, Weiden/ Oberpfalz, Germany; Department of Trauma Surgery, BG Unfallklinik Murnau, Murnau, Germany; Institute for Biomechanics, Paracelsus Medical University, Salzburg, Austria. Electronic address: christian.vonrueden@kno.ag.
• Injury. 2023 Oct 1; 54 Suppl 5: 110818110818.

AbstractDepending on the severity of the injury and the involvement of the soft tissue envelope, clavicle fractures can be treated operatively or non-operatively. In the past, displaced fractures of the clavicle shaft in adults have been treated non-operatively. However, the rate of nonunion following non-operative treatment seems to be higher than previously reported. In addition, publications reporting better functional outcomes following operative treatment are increasing. In recent years this has led to a paradigm shift towards an increase of operative fracture treatment. The aim of this review article was to summarize the currently available evidence on the treatment of clavicle fractures. Classifications, indications, and treatment options for different fracture patterns of the medial, midshaft, and lateral clavicles are presented and discussed.Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.

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